| NPI | 1437570793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE YAFFE Manager 813-644-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |