| NPI | 1083086656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE A. MOORE President/CEO 863-709-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251V00000X Voluntary or Charitable | |
| 251C00000X | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2024-02-04 |