NPI | 1154198430 |
---|---|
Entity Type | Organization |
Authorized Contact | BETHANY BRUNN Owner 727-482-1413 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-12-07 |
Last Update Date | 2023-12-07 |