| 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 |