| NPI | 1972850527 |
|---|---|
| Doing Business As | UNIVERSITY BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GABRIEL MARIANO CEO 941-315-6895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: FL cme 5967827) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2014-05-21 |