| 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 |