| NPI | 1184244451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA DICKERSON Executive Director 772-781-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 174200000X Meals |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |