| NPI | 1477149680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LYNN COHRS Director Of Operations 727-251-1328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-12-13 |
| Last Update Date | 2023-08-15 |