| NPI | 1558635805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN PEREZ-ILLADE Director 407-430-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH9110) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |