| NPI | 1952777856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVENS MICHEL CEO 407-462-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2021-01-19 |