| NPI | 1922495720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK NAVE Executive Director 407-739-3846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1859AD288601) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |