| NPI | 1235903196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVAYNE LAWSON Chief Program Officer 941-830-3647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-14 |