| NPI | 1598377012 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CARA RENEE GRIFFITH Outpatient Therapist 321-370-5577  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Enumeration Date | 2020-08-17 | 
| Last Update Date | 2020-08-17 |