NPI | 1518921337 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY J. PARHAM It Director 239-332-6937 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable |
Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: FL CH1152) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2011-11-10 |