| NPI | 1942457122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENEL HERNANDEZ Executive Director 772-770-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management (Licence: FL 1931AD283500) |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2022-03-03 |