| NPI | 1316302987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL KARATINOS Owner 813-345-5946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL ME69122) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |