| NPI | 1316199029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENER BROJAN President/CEO 727-642-7803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: FL 7933) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2009-01-07 |