| NPI | 1497162481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A. MANNION Owner 813-731-6954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6734) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |