| NPI | 1033472667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA LOPEZ-SCALZO Senior Therapist/Lmhc 813-977-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH11041) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |