| NPI | 1013265404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY C HAMILTON Executive Director 407-880-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH 8768) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |