| NPI | 1225275290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FARRELL WEST Owner 813-601-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 8765) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |