| NPI | 1073927224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERI ANNE CARTER Manager/Owner 813-258-1272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8548) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |