| NPI | 1245404375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LOCKE Director Of Programs 321-452-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 0705AD694301) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |