| NPI | 1336654235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNE GETTMAN Owner 813-559-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL SS810) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |