| NPI | 1912668922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SPADAFORA COO 727-755-3018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-02-06 |