NPI | 1245808286 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH JENKINS President 813-693-2019 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2021-06-16 |
Last Update Date | 2023-03-29 |