NPI | 1922856855 |
---|---|
Entity Type | Organization |
Authorized Contact | KALIN GRACE PALMER Owner/Clinician 941-444-6188 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-05-07 |
Last Update Date | 2024-05-07 |