| NPI | 1356746549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SMITH Psychologist 407-923-4814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL py8387) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |