| NPI | 1366651655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE C RANDALL Assessment Specialist 407-321-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 3) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-07-21 |