| NPI | 1265794507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE MATHURIN CEO 407-683-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 253Z00000X In Home Supportive Care | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |