| NPI | 1487927422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G. MICHAEL PILCHER President 386-672-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH10212) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-23 |