| NPI | 1538369632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN KAY HEIMMER President/CEO 321-259-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 0705AD75190) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |