| NPI | 1417903493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE RAE SAKS Sole Proprietor 813-354-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |