| NPI | 1316016637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI M NADJAFI CFO 407-423-7149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2009-04-29 |