| NPI | 1568874097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA STAR CRYSTAL-BELLE Vice President 813-244-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4423) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |