NPI | 1619369071 |
---|---|
Doing Business As | ADVANTAGE MENTAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | WILLIAM HERVEY Chief Medical Officer 727-600-8093 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL ARNP2194342) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL ME108154) |
Enumeration Date | 2015-02-23 |
Last Update Date | 2015-02-23 |