| NPI | 1851618425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARISHA MICHELLE HIGGINS Clubhouse Program Specialist 407-401-4675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |