| 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 |