| NPI | 1992914121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN I RICE Executive Director 813-272-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |