| NPI | 1982880688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY LLOYD TACKETT VP Business Development 772-559-8673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL sw6243) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL sw6243) |
| 251B00000X Case Management (Licence: FL sw6243) | |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |