NPI | 1508983669 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS COLEMAN Director 386-274-0790 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: FL PH12890) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2020-08-22 |