| NPI | 1891051132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNALYNN CENKNER President/Owner 321-890-7014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL L11000062706) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |