| NPI | 1104297738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA A GADOUAS Lmhc 727-505-0959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8375) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-12 |