| NPI | 1942520895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON L THOMAS President 386-259-4985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: FL 100006037) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |