NPI | 1770938243 |
---|---|
Entity Type | Organization |
Authorized Contact | ALBERT C SLICKES Owner 813-777-8253 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH11023) |
Enumeration Date | 2016-05-03 |
Last Update Date | 2016-05-03 |