| NPI | 1740672518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEIKA RICE Targeted Case Manager 386-752-7813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |