| NPI | 1871760199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE R SAKS Member 813-354-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL ME0039891) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL ARNP2603542) |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: FL ARNP318832) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MH0002956) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW768) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW782) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW9045) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2010-04-07 |