| NPI | 1366813586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA ALLEN Medical Assistant 407-952-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: FL 2641026) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |