NPI | 1215759048 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA BEACKKOFSKY Medical Director 813-279-8878 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103T00000X Psychologist | |
103TC0700X Psychologist, Clinical | |
103TC1900X Psychologist, Counseling | |
1041C0700X Social Worker, Clinical | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2024-10-31 |
Last Update Date | 2025-04-06 |