| NPI | 1437550266 |
|---|---|
| Other Name | HEADS |
| Entity Type | Organization |
| Authorized Contact | EDWARD A WALLER COO 813-754-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 05) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |