| NPI | 1841211091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PICCIANO President 727-934-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 06-00048469) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |