| NPI | 1447905658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE WHITE Pmhnp Bc 941-525-2766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-03-06 |