| NPI | 1023269685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PAUL BLANCHARD Officer 407-761-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH 8257) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |