| NPI | 1316756281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA PRILLE RONALD MAKUNDI Program Manager 239-770-1897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2025-01-04 |
| Last Update Date | 2025-02-25 |