| NPI | 1962785352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA GORKEN Vice President 727-281-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2020-02-12 |