| NPI | 1528362944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN EATON Office Administrator 813-264-8771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9814) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MT2503) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH3707) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MT1854) | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |