| NPI | 1538377973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN ANNE HUDACEK President 813-610-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL PY 7334) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |