| NPI | 1558315127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL GONZALES Ddtp Psychiatrist 813-631-7126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |