| NPI | 1023403417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE COLLINS District Manager 813-621-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL ps53078) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |