NPI | 1093103632 |
---|---|
Entity Type | Organization |
Authorized Contact | DORIAN RACE Owner 407-616-5948 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL IMH12406) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2015-01-06 |