| NPI | 1760800817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE KAGER President 813-655-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL PY5566) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |