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 |