| NPI | 1912472465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA FRIED Chief Operating Officer 727-939-8387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |