| NPI | 1992473888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIKESHA BLAKE CFO 407-287-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2024-11-22 |