NPI | 1487904421 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHA PEREYRA CEO 813-246-4899 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 1329AD062601) |
Enumeration Date | 2012-09-18 |
Last Update Date | 2022-10-19 |