| NPI | 1174886600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA ANNA SPANOS President 813-967-1376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW5979) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: FL BK4208016) |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: FL 47310) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-22 |