| NPI | 1073889572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE J. MCKEAN Owner/Manager 813-453-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7053) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |