| NPI | 1922350867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY FELIX-THOMAS Owner 407-748-4869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH9536) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |