| NPI | 1457672032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE RHODES Manager 407-679-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |