| NPI | 1720136971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CAROLINE DOUCETTE Vice President Of Finance 863-868-1607 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2018-07-23 |