| NPI | 1003034513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERLLEY YAMIRIE CAMPOS Clinical Director 407-957-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 0749AD495301) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2012-02-15 |