| NPI | 1922544527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA P. BARBER Owner 407-767-8854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH573) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |