| NPI | 1932773322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD O SPOONER Consultant Nurse 813-992-7867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |