| NPI | 1013057165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY STAPP MATTOS CEO 407-644-4367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH7519) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-05-19 |