| NPI | 1376836544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA E MASON President 727-542-3635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 7842) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |