NPI | 1902425390 |
---|---|
Entity Type | Organization |
Authorized Contact | KRIS REBECCA MULHOLLEN Licensed Mental Health Counselor 813-618-3150 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2020-04-15 |
Last Update Date | 2020-04-15 |