| NPI | 1609115427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHIA ELIZA CASANOVA Owner/Therapist 813-802-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 11051) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP 4805) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |