| NPI | 1578785937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE H COOPER Program Manager 813-864-1420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL SW 4933) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |