| NPI | 1629560545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI J BROCHMAN Dir Of Hr, Compliance & Corp Admin 813-605-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL ME96275) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-03-08 |