| NPI | 1174967103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE MATHURIN CEO 407-963-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251C00000X |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |