| NPI | 1508129446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA TEAL Executive Director 407-492-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2017-05-10 |