| NPI | 1083934350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LEE CAPES CEO 727-584-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL Applied for) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |