| NPI | 1013384650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANNIE M HUDSON Executive Director 386-290-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-11-17 |