| NPI | 1164611588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE WESTHEAD Medical Director 407-323-2036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: FL 3) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2022-07-21 |