| NPI | 1255412011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY A TETEN Owner/Director 813-792-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7429) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |