| NPI | 1720450257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY HAWKINS Therapist 727-415-8992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 2396) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |