| NPI | 1366978025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN VIOLET LOCKHART Owner/ Administrator 407-535-3857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |