NPI | 1144550021 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA SUE HEDSTROM Owner 813-943-6335 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW 9194) |
Enumeration Date | 2009-12-28 |
Last Update Date | 2009-12-28 |