| NPI | 1649951708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ERRICO President 727-301-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |