| NPI | 1780904326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY B DELERME Director 407-792-5896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH 6651) |
| Enumeration Date | 2010-06-06 |
| Last Update Date | 2014-10-16 |