| NPI | 1114271087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOSEPH NORCONK CEO 772-226-0812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1931AD328601) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |