| NPI | 1548781693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ELLERBY Program Director 813-417-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 177F00000X Lodging |
| 251B00000X Case Management | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2024-08-23 |