| NPI | 1730626656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KIRBY Medical Director 813-756-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2020-03-10 |