| NPI | 1346753134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JOHNSON Chief Operating Officer 813-482-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL PY9265) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2018-08-11 |