| NPI | 1750752838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN RYAN Clinical Director 407-730-3837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL mh7827) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |