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 |