| NPI | 1780956607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH POFF Owner/President 813-964-5684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL SW 0003019) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |