NPI | 1265932941 |
---|---|
Entity Type | Organization |
Authorized Contact | FELICIA PATTERSON Executive Director 863-385-1009 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2018-02-19 |
Last Update Date | 2024-08-08 |