| NPI | 1760299366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HARVEY Director Of Information Management 813-602-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |