| NPI | 1124287065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY C. KARP Director/Managing Partner 813-963-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 6887317-96) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL 6887317-98) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2011-12-16 |