| NPI | 1841835543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR GREENE Owner 813-403-4423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |