NPI | 1699085258 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN LEIGH MAIER Director 813-431-0797 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2010-10-18 |
Last Update Date | 2011-12-06 |