| NPI | 1194991729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE ALAN GROSNICK President 727-586-6942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SR-52-AD-823801) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2008-05-04 |