| NPI | 1144579509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JOHN MULROY Owner 813-765-2748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9046) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |