| NPI | 1245672898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBA HALEY Cheif Executive Director 813-716-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 13-29-AD-5850-01) |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: FL 13-29-AD-5850-01) | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-09-25 |