| NPI | 1871114801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SANCHEZ MILLER CFO 813-600-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |