| NPI | 1669869756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WAYNER SCARFF Owner 863-398-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH11488) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |