| NPI | 1396469458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MARIE HYMILLER Owner 727-278-6445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |