| NPI | 1346079753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON EDWARD CANNON Business Manager 772-206-0334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |