| NPI | 1558769521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD K. SPENCER Psychotherapist 813-466-8718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL SW7140) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |