| NPI | 1144618620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLETTE J. IACOBELLIS Contract Counselor 407-951-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL IMH11329) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |