| NPI | 1437404159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE CHURTON Associate Director 813-977-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |