| NPI | 1255742862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN MICHAEL VYZAS President 813-960-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH0001886) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |