| NPI | 1265724033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY T HOLCOMB President 407-347-4676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL PY0004613) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-11-30 |