| NPI | 1043688773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A TEESE Owner 727-491-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW6483) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 2746) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |