| NPI | 1053706507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY S WELLS Founder CEO 904-566-0200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL 3852) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: FL 3852) |
| 251S00000X (Licence: FL 3852) | |
| 251V00000X Voluntary or Charitable (Licence: FL 3852) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |