| NPI | 1962478230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI A. WELCH Project Administrator 850-872-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2009-03-12 |