| NPI | 1629511720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE EDITH MAGUIRE Pres. 727-531-7988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MHC4157) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |