| NPI | 1972834554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD PAUL KINZLER Executive Director 407-740-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW186) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |