| NPI | 1194974527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN E NODZON Mental Health Counselor 727-489-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL IMH 5476) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |