| NPI | 1245690692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HUNT Manager 813-447-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL sw12559) |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2016-02-27 |