| NPI | 1376926188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY BORDEN President 863-241-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 0-02-0431) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |