| NPI | 1205178258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DE LISA BONAPARTE D/P 904-566-1975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2013-03-17 |
| Last Update Date | 2013-03-19 |