| NPI | 1518436732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA JACKSON Owner 813-610-9763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |