| NPI | 1376930362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASANDRA ANNE MERRITT CEO 813-489-4546 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH 12768) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2022-02-25 |