| NPI | 1710414511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE CONUS Mental Health Program Director 407-324-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL imh15952) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |