| NPI | 1013717941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS E ESCOBAR Clinical Director 727-351-1978 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |