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 |