| NPI | 1952131344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVON TEMPLE Owner 407-529-5341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |