| NPI | 1437971090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA DELANIE SAMUELS Professional Counselor 813-944-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |