| NPI | 1609173822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL'HAQ MUHAMMAD Executive Director 239-333-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |