| NPI | 1366725061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A BRISSENDEN Sole Proprietor 727-669-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9249) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |