| NPI | 1942364062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LUCAS CEO 407-346-2849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 0749AD891306) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2025-02-18 |