| NPI | 1447627203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE IRENE WRIGHT ELDERS Owner 727-452-3635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW12831) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |