| NPI | 1518311653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA VALENTINE GRAY Sole Owner 813-217-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9316482) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-15 |