| NPI | 1558732024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA ANN OLEARY RN 9413-312-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL RN9292201) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |