| NPI | 1750602868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS STEVEN BONAR Owner 727-544-3352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH1462) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |