| NPI | 1497642276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY CARLSSON Operations Administrator 813-212-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |