NPI | 1386178838 |
---|---|
Entity Type | Organization |
Authorized Contact | TYLER ALLEN CONNER Owner 407-810-8319 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL IMH14125) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2017-04-11 |