| NPI | 1619080322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL L SURBER CEO 813-788-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: FL 4445) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2014-05-02 |