| NPI | 1841867454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNE PIERRE Business Partner 407-860-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |