NPI | 1407516081 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS STORMANNS CEO 813-230-5363 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-12-23 |
Last Update Date | 2024-02-19 |