| NPI | 1760830640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA L HENINGBURG CEO 407-518-9506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL MH 11963) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2018-03-17 |