| NPI | 1447382957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GREGORISCH Managing Partner 813-350-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW4509) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1697) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2020-08-22 |