| NPI | 1740309657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL JEAN CROW President 813-915-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2013-08-30 |