| NPI | 1780978445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN ELIZABETH CLEGG Administrator 407-496-2192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2025-03-19 |