| NPI | 1518513324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE TURNER Executive Director 813-763-0284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251C00000X |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2020-04-13 |