| NPI | 1386889145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM E. COSTELLO President 727-345-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH7394) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |