| NPI | 1336218429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE STROEBEL CFO 727-461-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2019-09-11 |