| NPI | 1922755826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY C STALLO Chief Executive Officer 727-798-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2023-06-25 |