NPI | 1952698805 |
---|---|
Doing Business As | SPRING LAKE YOUTH ACADEMY |
Entity Type | Organization |
Authorized Contact | JAMES C HILL CEO 813-514-6275 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2011-06-29 |
Last Update Date | 2011-06-29 |