| NPI | 1770137572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA MONTFORD Business Office Manager 407-295-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |