| NPI | 1912760273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K'BRIA CHARLOTIN CEO/Owner 813-713-5538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |