| NPI | 1336562677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JUSTIN ANTHONY Targeted Case Management Supervisor 386-752-7813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |