NPI | 1255837811 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN WOLF WEBER Owner/Operator 813-679-4885 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL PY10088) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2018-04-03 |