NPI | 1346459468 |
---|---|
Entity Type | Organization |
Authorized Contact | LORIS DIXON CFO 727-479-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL 430) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2018-09-24 |