| NPI | 1578931424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLERMINE BROOKINS President 772-940-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2021-03-10 |