NPI | 1487016556 |
---|---|
Doing Business As | CHOICES, CHANCES, CHANGES |
Entity Type | Organization |
Authorized Contact | JESSICA CONROY Clinical Director 352-622-0062 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: FL MH13023) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2016-03-28 |