| NPI | 1851576979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DICK JACOBS President 407-245-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 0748AD294103) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |