| NPI | 1225356249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH TOBACK-GRIFFITH Clinical Director 772-595-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW6929) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |