| NPI | 1255734935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE J MANDELL Owner 727-254-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: FL SW11944) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |