| NPI | 1093135550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA ADELE SMITH Director/Therapist 813-788-1491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4925) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |