| NPI | 1306546940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEON F THOMPSON Clinical Director 813-943-5323 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-03-07 |