| NPI | 1295036994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HURLEY Counselor 863-510-5902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH 8486) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |