| NPI | 1528155447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BALL Assistant Director CAC 407-317-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW8165) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |