| NPI | 1376858266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE HANEY President 813-224-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |