NPI | 1629448428 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON D. TROUPE Program Supervisor 941-330-5983 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251B00000X Case Management |
Enumeration Date | 2015-10-06 |
Last Update Date | 2016-01-15 |