NPI | 1073396594 |
---|---|
Former Legal Business Name | THE HOLISTIC MENTAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | GEORGE W NELSON Chief Financial Officer 727-599-1292 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2023-08-17 |
Last Update Date | 2023-08-17 |