| NPI | 1992933964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER G ROUSSET Targeted Case Manager 904-389-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-08-12 |