| NPI | 1962363010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXINE L GOLDEN Owner 813-545-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-11-19 |
| Last Update Date | 2025-11-19 |