| 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 |