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 |