| NPI | 1609256841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ADRIAN YOUNG CEO 800-939-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PN5159056) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |