| NPI | 1164581633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P BERKO Executive Director 407-831-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363L00000X Nurse Practitioner | |
| 208D00000X General Practice | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 101YM0800X Counselor, Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-04-05 |