| NPI | 1750644084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE W. MENDOZA Manager 407-247-5972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW6487) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2015-04-20 |