| NPI | 1558168435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE FAIFMAN Owner 813-723-3659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |