| NPI | 1457423006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE WALLACE TUTTLE Executive Director 813-933-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |