NPI | 1174921977 |
---|---|
Entity Type | Organization |
Authorized Contact | TRISTAN W BYRNES Member 813-919-6185 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12786) |
Enumeration Date | 2014-12-10 |
Last Update Date | 2014-12-10 |