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 |