| 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 |