| NPI | 1588055164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TODD SCHAEFER CEO 727-729-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 0652AD822001) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-06-09 |