| NPI | 1013281666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HOWARD ZUBER Agent 863-687-6099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MT0001417) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |