| NPI | 1962790121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE PARRIS AGULIA President 772-233-4282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH 9214) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |