| NPI | 1104894914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHA PEREYRA CEO 813-246-4899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2022-10-19 |