| NPI | 1114613353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA CHRISTENSEN Clinical Director/Psychotherapist 813-358-2268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2025-04-03 |