| NPI | 1043189681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMESIA WHETSELL Ms 407-279-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |