| NPI | 1073835625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEIGH SHEPHARD Director Of Finance 904-551-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2018-05-17 |