| NPI | 1619118734 |
|---|---|
| Former Legal Business Name | SHANNON P. ADAMS CORP |
| Entity Type | Organization |
| Authorized Contact | SHANNON PONDER ADAMS President 407-973-7098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH 6215) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |