| NPI | 1053508481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DAY Co Occuring Disorders Specialist 407-323-2036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL 101YM0800X) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |