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 |