| NPI | 1376998005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLENE BARHOO Director 386-258-1258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |