| NPI | 1073396594 |
|---|---|
| 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 |