| NPI | 1922390715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE CHURTON Director 813-977-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW7140) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |