NPI | 1104047208 |
---|---|
Former Legal Business Name | FLORA OPPORTUNITY CENTER |
Entity Type | Organization |
Authorized Contact | GARY WHITEHEAD Executive Director 618-662-4916 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-08-22 |