| NPI | 1184258832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMBERT WAYNE LEROUX Chairman 727-480-4981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2021-07-01 |