NPI | 1063702066 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES A. ROBISON President 772-794-7550 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PY00005963) |
Enumeration Date | 2011-04-11 |
Last Update Date | 2011-04-11 |