| NPI | 1154479251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ROSENFELD Director 813-948-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT81) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |