| NPI | 1831808641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATREECE CHRISTINE PERRY JONES Business Owner 813-863-6167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |