| NPI | 1801556196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORIS FRANCO Medical Director 407-237-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |