| NPI | 1366801789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS ANDERSON CEO 727-202-8932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL AL 16) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |