| NPI | 1740693308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA VITALI CEO 813-770-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL MH12294) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL MH12294) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH12294) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MH12294) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |