| NPI | 1013363175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALISSA BENDER Administrator 772-925-4917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL ADC0136772016) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |