| NPI | 1174787808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A. NORRIS Managing Member 813-464-0846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 6506) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |