NPI | 1083035554 |
---|---|
Entity Type | Organization |
Authorized Contact | TRISTAN FAITH Owner 407-223-8873 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH10201) |
Enumeration Date | 2013-12-30 |
Last Update Date | 2014-01-15 |