| NPI | 1396999793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA BAILEY President 813-258-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MT 1739) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |