| NPI | 1912502097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN BROWN Psychologist 813-701-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |