| NPI | 1770916652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEYDE SENA SILVA Counselor 407-203-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL LCCC 052784) |
| Additional Taxonomies | 251S00000X (Licence: FL CMHP 50094) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |