| NPI | 1063201077 |
|---|---|
| Other Name | LOCATION - PINELLAS PARK |
| Entity Type | Organization |
| Authorized Contact | STEVE BLANK Regional Vice President 727-620-1082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |