NPI | 1376207456 |
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Doing Business As | DISCOVERY MOOD & ANXIETY PROGRAM, TAMPA |
Entity Type | Organization |
Authorized Contact | MAGDALEN GUSTILO Director Of Payer Relations 714-568-7667 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2021-10-26 |
Last Update Date | 2023-05-10 |