| NPI | 1467314500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HEWITT CEO 727-600-3923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2025-11-26 |
| Last Update Date | 2025-11-26 |