| NPI | 1497318414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ISABELLE SCHMICK-DISTEFANO Manager, Founding Owner 727-744-8732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-08-14 |