| NPI | 1821421165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL M SIPES CEO/President 813-676-9508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 2036AD8911-01) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |