| NPI | 1558767376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD ALI President 813-390-7586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME98572) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2020-05-19 |