| NPI | 1184088650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STEIBRUN CEO 407-351-7080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-10-14 |