NPI | 1215560305 |
---|---|
Entity Type | Organization |
Authorized Contact | KAYLEE KATHRYN VANCE Director Of Utilization Management 386-668-4774 |
Organization Subpart ? | Yes |
Primary Taxonomy | 253J00000X Foster Care Agency |
Enumeration Date | 2020-02-17 |
Last Update Date | 2020-02-24 |