NPI | 1144269036 |
---|---|
Entity Type | Organization |
Authorized Contact | GORDON JOHNSON President/CEO 386-523-1440 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 251B00000X Case Management |
Enumeration Date | 2006-06-06 |
Last Update Date | 2025-09-11 |