NPI | 1720243587 |
---|---|
Entity Type | Organization |
Authorized Contact | KEHINDE ADE OLAYISADE Administrator 813-420-8036 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 692678998) |
Enumeration Date | 2008-07-22 |
Last Update Date | 2008-07-22 |