| NPI | 1306074141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LYNN COYNE Targeted Case Manager 904-866-0425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL 171M00000X) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |