| NPI | 1063638526 |
|---|---|
| Doing Business As | NNCJ ONE ON ONE |
| Entity Type | Organization |
| Authorized Contact | MARTHA BURDETTE Provider Owner 321-674-9698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-06-12 |