NPI | 1518300524 |
---|---|
Entity Type | Organization |
Authorized Contact | ARTHUR W CHANNER President 321-624-8657 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1021041) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2014-12-11 |