| NPI | 1083303127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENCI SHKEMBI Dnp, Ap RN, Pmhnp Bc, Fnp C 813-515-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |