NPI | 1639507999 |
---|---|
Entity Type | Organization |
Authorized Contact | BHASKAR N. RAJU Director 352-241-6112 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL ME91130) |
Enumeration Date | 2013-10-24 |
Last Update Date | 2013-10-24 |