| NPI | 1285888982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT P KRUMENACKER President 813-918-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MT-1739) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2012-02-24 |