| NPI | 1760517890 |
|---|---|
| Doing Business As | OUTPATIENT TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | SHERRY A MILLER Secretary 813-376-2841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: FL P04000038336) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |