| NPI | 1275865073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY S COLEMAN PRIER Owner/Clinical Director 813-957-7348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL SW 7661) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |