| NPI | 1669898136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SABAS RAMOS Owner 407-222-5968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH9810) |
| Enumeration Date | 2014-03-08 |
| Last Update Date | 2014-03-08 |