| NPI | 1285899419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HARRIS SANDMAN8632913155 President 863-291-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 0002829) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |