| NPI | 1508311994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GRUPP Authorized Member 813-287-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9992) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH14171) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |