| NPI | 1588946651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA L MCMORROW Licensed Clinical Psychotherapist 727-458-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL SW8715) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2017-03-14 |