NPI | 1417467283 |
---|---|
Entity Type | Organization |
Authorized Contact | JOOHYUN LEE Psychologist 813-972-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MO 2017019227) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MO 2017019227) |
261QV0200X Clinic/Center, VA (Licence: MO 2017019227) | |
Enumeration Date | 2017-10-06 |
Last Update Date | 2017-11-17 |