| NPI | 1922246610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN MCMAHAN Mgrm 561-891-9148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-07-16 |