NPI | 1720611221 |
---|---|
Doing Business As | CIRCLE OF FRIENDS SERVICES |
Entity Type | Organization |
Authorized Contact | KAYLEE KATHRYN VANCE Director Of Utilization Management 386-668-4774 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2020-02-13 |
Last Update Date | 2020-02-13 |