| NPI | 1972908994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY THOMAS BEAMS Owner 813-513-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL OS7230) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-03 |