| NPI | 1942507165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE ROZIER SMITH Director 321-276-1481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL SW7799) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |