| NPI | 1063439750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LEE PIERCE Managing Member 727-376-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW4995) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP1163702) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-02-07 |