| NPI | 1639584329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EMERSON BOWEN President 772-332-4420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL ME110220) |
| Enumeration Date | 2014-06-22 |
| Last Update Date | 2014-06-22 |