| NPI | 1063706521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBINA INAYAT President 407-963-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: FL ME92855) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL ME92855) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-10-06 |