| NPI | 1831966761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CHAPMAN Director Of Managed Care 407-351-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |