NPI | 1841767290 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE CAMPBELL Owner 727-470-8003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2018-10-24 |
Last Update Date | 2018-10-24 |