| NPI | 1801450515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ANN DITTMANN Owner 813-373-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2025-09-16 |