NPI | 1669044566 |
---|---|
Entity Type | Organization |
Authorized Contact | JACALYN JACKSON-DEAN Licensed Mental Health Counselor 813-421-9995 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-07-12 |
Last Update Date | 2024-01-09 |