| NPI | 1558785253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY EDWARDS Executive Director 407-394-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2014-02-16 |
| Last Update Date | 2021-09-22 |