| NPI | 1104054030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE MARIE BURNS Targeted Case Manager 904-993-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL 171M00000X) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-07-07 |