| NPI | 1033001623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES CERTAIN Manager/Therapist 813-451-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |