| NPI | 1972612539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN S PIPER CEO 813-882-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL SR 29 AD 1178 02) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |