| NPI | 1497129266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH HENNING Msw, Cap, Lcsw 727-784-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SW11813) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |