| NPI | 1730346370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON M CAREY Administrative Support Coordinator 813-514-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |