| NPI | 1720446065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA BHATIA Operating Manager 407-302-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MT2458) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |