| NPI | 1821546151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CALLAN Owner 813-924-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW1785) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |