| NPI | 1598331647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KLEMKOSKY Owner 813-598-9687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-05-30 |
| Last Update Date | 2021-05-30 |