| NPI | 1558753129 |
|---|---|
| Doing Business As | FORWARD RECOVERY |
| Entity Type | Organization |
| Authorized Contact | LAUREN A MATOS Licensed Mental Health Counselor 813-765-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12696) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH12696) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |