| NPI | 1659630473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HOWARD SWIHART Administrator 772-237-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: FL AL12123) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |