| NPI | 1316322910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY DOWD President Bcba 813-433-4138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1-15-19187) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |