| NPI | 1598499220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE ROBERTSON Licensed Clinical Social Worker 727-222-0733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2022-07-09 |