| NPI | 1144425596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI A HERZMAN CEO 727-861-7074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH 8927) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL MH 5968) |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2007-12-29 |