| NPI | 1417293192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI B BRYANT Owner 786-468-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |