| NPI | 1922434448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE STEPHENS President 321-432-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1-10-7790) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |