| NPI | 1760081715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MOSBERG Consultant 813-997-9756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-27 |