| NPI | 1356390231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES T PUTERBAUGH President 727-559-0863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 5228) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 2164) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |