NPI | 1376138768 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE AUDREY CLARK President 727-537-0752 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2021-03-08 |
Last Update Date | 2024-03-29 |