| NPI | 1467704437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABUCHI GRACE ANDERSON Owner 352-255-6458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| 305S00000X Point of Service | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |