| NPI | 1336917475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS SHERNITA FORD Licensed Mental Health Counselor 813-378-0393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-03-02 |