| NPI | 1174872584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SHELBY MINTER Managing Member 813-385-7041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL PY8553) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |