| NPI | 1306545579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA CORNELL BRILL BEARD Owner/Clinician 813-588-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-27 |