| NPI | 1154641777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH GREINER Treasurer 904-392-9203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: OH 4800648) |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2010-06-05 |