NPI | 1720265275 |
---|---|
Entity Type | Organization |
Authorized Contact | REGINALD L HENDERSON President 772-466-6911 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 687662596) |
Enumeration Date | 2008-01-28 |
Last Update Date | 2008-01-28 |