| NPI | 1487192522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA AMICK Director 727-798-8160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2023-03-23 |