| NPI | 1215034392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SWEENEY Staff Atto RN Ey 813-931-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: FL ME34699) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL ME34699) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |