| NPI | 1427304195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI PENDLETON Licensed Mental Health Counselor 727-785-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MH-3827) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: FL MH-3827) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |