| NPI | 1336447960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY CROWE Lmhc/Managing Member 813-748-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2012-12-11 |