| NPI | 1770553018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY E BAXLA Program Administrator 352-369-7835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2015-02-03 |