| NPI | 1073186912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADETH ADREANA YEPEZ Case Manager/Care Coordinator 321-917-5807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-02-15 |