| NPI | 1780614826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY A BIRCH President 407-327-1765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2009-01-07 |