| NPI | 1013702356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYETRENIA NICHOLS President 813-361-4935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |