| NPI | 1689059719 |
|---|---|
| Other Name | SALLY'S HOUSE |
| Entity Type | Organization |
| Authorized Contact | FALLON DEROSA Hr Manager 321-722-5273 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 1805AS155311) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |