| NPI | 1932755451 |
|---|---|
| Doing Business As | NEW SEASON MENTOR |
| Entity Type | Organization |
| Authorized Contact | RODNEY WILLIAMS CFO 407-351-7080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |