| NPI | 1649329723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA BARNES Controller 727-489-5243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL HCC5519) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |