| NPI | 1619143021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA CANON Office Coordinator 727-847-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2024-01-30 |