| NPI | 1811287618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVONNE LYNCH Chief Programs Officer 386-690-8278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-14 |