| NPI | 1154589687 |
|---|---|
| Doing Business As | CLEMENTINE PALMETTO BAY |
| Entity Type | Organization |
| Authorized Contact | MIKE BAGLEY Chief Financial Officer 305-663-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2022-11-17 |