| NPI | 1023668811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BA President 407-912-7830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251V00000X Voluntary or Charitable | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |