| NPI | 1992000335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADIS RODRIGUEZ President 863-288-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW7818) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2011-01-17 |