NPI | 1225312549 |
---|---|
Other Name | MAGNOLIA - CMHC |
Entity Type | Organization |
Authorized Contact | LYNDA GORKEN Vice President 727-281-9390 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2011-10-05 |
Last Update Date | 2020-02-12 |