| NPI | 1063866358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MCREYNOLDS President 727-849-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |