| NPI | 1861115891 |
|---|---|
| Doing Business As | EDEN LIFE |
| Entity Type | Organization |
| Authorized Contact | DERRICK HAUGHTON President 407-603-6272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2026-03-30 |