| NPI | 1518364470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY C. SAWYER Owner 813-917-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL IMH11461) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |