| NPI | 1275393688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JEFFERSON Therapist/Owner 813-445-3645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-07-16 |