NPI | 1821976309 |
---|---|
Entity Type | Organization |
Authorized Contact | SUKAINA NICOPHENE Mns, Aprp, Fnp C, Pmhnp C 813-598-0652 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-08-23 |
Last Update Date | 2025-08-23 |