| NPI | 1215679121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS DOYLE CEO 813-610-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-11 |