| NPI | 1326617762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO-ANN PRISCO VP Contracts And Payor Relations 772-214-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-21 |