| NPI | 1306555776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS H FUENTES, CSW Community Support Worker Children 385-224-8221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |