| NPI | 1376138768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE AUDREY CLARK President 727-537-0752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 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 |