NPI | 1942250303 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDALL MARK BURGAN Chief Operating Officer 727-498-4807 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2006-05-10 |
Last Update Date | 2025-01-30 |