| NPI | 1174442495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA BARBER Clinical Director/CEO 813-699-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-07-11 |
| Last Update Date | 2026-07-11 |