| NPI | 1932650058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN KLEE Owner 407-530-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 10841) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2017-04-05 |