| NPI | 1396298576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNE ERA Partner 877-585-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW10786) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |