| NPI | 1194190892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE MARIE FERGUSON CEO 407-431-8831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-08 |