| NPI | 1144629353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BLOUNT CEO 407-697-9247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1206988) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |