| NPI | 1073971073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M MESHULA Licensed Professional Counselor 813-758-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ LPC-15865) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |