| NPI | 1174736995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENA FERN HILL CEO 407-557-4123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1329AD475701) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 1329AD475701) |
| 101YM0800X Counselor, Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-05-27 |