| NPI | 1467066233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA TUBBS-CREWS Mental Health Counselor 813-281-8955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |