| NPI | 1003190323 |
|---|---|
| Other Name | AGE 0-20 ONLY |
| Entity Type | Organization |
| Authorized Contact | LYNDA GORKEN Vice President 727-281-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2020-02-12 |