| NPI | 1962020479 |
|---|---|
| Former Legal Business Name | WHITES ALL STAR CONSULTANT |
| Entity Type | Organization |
| Authorized Contact | BESSIE WHITE Counselor 904-635-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |