| NPI | 1962794917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA JENNINGS Executive Director 386-255-5569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL 171M00000X) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |