| NPI | 1699551044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN FIELDING-MADDISON Therapist 813-509-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-09-01 |