| NPI | 1508324781 |
|---|---|
| Doing Business As | PAMELA MILBRY |
| Entity Type | Organization |
| Authorized Contact | PAMELA MILBRY Mental Health Therapist 813-966-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |