| NPI | 1073993903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN MARIE MULLIN Owner, Lmhc 727-916-7812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL MH12114) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |