| NPI | 1619159803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA D GANDELL President 813-282-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW3298) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2008-10-09 |