| NPI | 1245241165 |
|---|---|
| Other Name | CLINICAL SERVICES DIVISION |
| Entity Type | Organization |
| Authorized Contact | CHARLES D. FURMAN Clinical Services Director 813-264-3807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: FL 8006-24) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |