NPI | 1679914261 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD KELLY ALTMAN Regional Director 479-586-3101 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PS 50266) |
Enumeration Date | 2013-07-11 |
Last Update Date | 2013-07-11 |