| NPI | 1477896991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYN WESCH CFO 727-232-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL SR51AD2352-01) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2016-12-07 |