| NPI | 1528733151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA WERNICK Owner 727-460-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-16 |