| NPI | 1831224286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA FERNANDA VICOSO Medicaid Support Technician 386-586-2395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-06-26 |