NPI | 1518176312 |
---|---|
Doing Business As | BAYCARE INVERNESS AND BAYCARE HEALTH MANAGEMENT |
Entity Type | Organization |
Authorized Contact | DAVID F JACKSON President 352-400-4770 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 1309AD6112) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |