| NPI | 1265656052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN SKINNER Executive Director 407-362-9213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2018-10-04 |