| NPI | 1346371176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA FERNANAD VICOSO Medicaid Support Technician 386-437-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |