| NPI | 1700054368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN A BACHER Owner 727-519-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 0002835) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |