| NPI | 1114466356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBA HALEY Chief Executive Officer 813-716-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL mh7545) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-03-30 |