| NPI | 1699206920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA Y ALEXANDER INMAN President 863-697-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1-12-12371) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |