| NPI | 1285355610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA FISHER CEO 727-490-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2024-11-19 |