| NPI | 1811309594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONAY ATHENA DANRIDGE Mental Health Targeted Case Manager 407-779-4614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL D563781889170) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |