| NPI | 1851854434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELIZABETH WORTHEY President 813-770-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |