| NPI | 1639572738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE CRONIN Counselor 727-458-4781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH8517) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |