| NPI | 1477825024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE MARIE HOUSEMAN CEO 321-443-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH 11085) |
| Enumeration Date | 2012-01-28 |
| Last Update Date | 2012-01-28 |