| NPI | 1992286900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNET T HARPER Executive Director Of Programming 727-678-1751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: FL ISW11776) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL MH7947) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: FL ME106165) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL ME106165) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ISW11776) | |
| 251S00000X (Licence: FL ARNP9400491) | |
| 1041C0700X Social Worker, Clinical (Licence: FL ISW11776) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: FL ISW11776) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: FL ARNP9400491) | |
| 364S00000X Clinical Nurse Specialist (Licence: FL ARNP9400491) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |