| NPI | 1033739834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SPENCER Administrator 786-306-7361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |