| NPI | 1619116373 |
|---|---|
| Former Legal Business Name | AMIKIDS CROSSROADS, INC. |
| Former Legal Business Name | CROSSROADS WILDERNESS INSTITUTE, INC. |
| Entity Type | Organization |
| Authorized Contact | AMY A BRADSHAW HOPPOCK Vice President Of Mental Health 813-887-3300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2023-03-03 |