| NPI | 1992843361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNISE KING President 772-567-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL 676063596) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |