| NPI | 1255876157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRILL MARSHALL Case Manager 904-716-0712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL 300290517) |
| Enumeration Date | 2016-12-31 |
| Last Update Date | 2016-12-31 |