| NPI | 1104034735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROSEN Owner 727-584-4437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1250) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-04-20 |