| NPI | 1174184725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI C STEWART Owner 813-277-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 171M00000X Case Manager/Care Coordinator | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-26 |