| NPI | 1891183984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY K DHAWAN Medical Director 239-699-5830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL ME105093) |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |