| NPI | 1679754832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA HARVEY JARRIEL President 863-467-1946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1073246) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |