| NPI | 1902554355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KIMERIA Administrator 407-535-8148 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2025-03-27 |