| NPI | 1336410349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA BAKER Executive Director 407-267-0415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MT2629) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-29 |