| NPI | 1881184992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TUCKER Lmhc/Owner 727-324-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |