| NPI | 1417243957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE RUTHERFORD CEO 813-239-8069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |