| NPI | 1073753380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIET MARIE JOHNSON Licensed Clinical Social Worker 813-765-9678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |