NPI | 1083002703 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLEAH G EAST CEO/ Clinical Psychotherapist 727-569-6305 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH10595) |
Enumeration Date | 2015-01-05 |
Last Update Date | 2019-01-02 |