| NPI | 1255084828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN SZCZEPANIK Owner/Provider 727-642-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |