| NPI | 1093375784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED KAMIL ALI ZAIDI CEO 727-440-5612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-11-14 |