| NPI | 1154626489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY BELL BUSH Manager 850-512-1805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL SW3177) |
| Additional Taxonomies | 251B00000X Case Management (Licence: FL PG800) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |