| NPI | 1013247550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM GWATHNEY Medical Director 850-875-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: FL Rn9169219) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |