| NPI | 1700694221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE DUNNE Owner/Clinician 813-600-0690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |