NPI | 1710538905 |
---|---|
Entity Type | Organization |
Authorized Contact | SEON F THOMPSON Licensed Clinical Social Worker 813-943-5323 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2019-09-27 |
Last Update Date | 2023-03-02 |