| 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 |