NPI | 1740914613 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY MARIE HYMILLER Owner/ A RN P 727-278-6445 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-07-14 |
Last Update Date | 2023-08-08 |