| NPI | 1851795157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY WILLIAMS CFO 407-351-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: TX 1000048) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2019-08-14 |