| NPI | 1083964811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY A COCHRAN Sole Owner 813-654-8916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH6024) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |