| NPI | 1770170813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI BELLENGER CEO 813-368-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
| 332900000X Non-Pharmacy Dispensing Site | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |