NPI | 1740996511 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNDA GORKEN Vice President 727-281-9202 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-01-25 |
Last Update Date | 2024-05-21 |