| NPI | 1609409101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLEE KATHRYN VANCE Director Of Utilization Management 386-668-4774 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2021-02-02 |