| 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 |