| NPI | 1679610091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE YVONNE MITCHELS Executive Director 813-990-8981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |