| NPI | 1619201456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES V SMITH CEO 727-608-7286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2433) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL MH8574) |
| Enumeration Date | 2009-09-27 |
| Last Update Date | 2011-07-28 |