| NPI | 1194686253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANA JONES CEO 813-210-7218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-11-19 |
| Last Update Date | 2025-11-19 |