| NPI | 1912328121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL LEDFORD Owner/Director 321-213-7370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL BTR27880) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |