| NPI | 1689065781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA WOODARD Executive Director 727-350-5388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 292200000X Dental Laboratory | |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-04-02 |