NPI | 1245352004 |
---|---|
Entity Type | Organization |
Authorized Contact | LATHA BABUJI A RN P 407-323-2036 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 2699592) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-22 |