| NPI | 1639426398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER COMFORT Owner 813-230-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL SW6686) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011229) |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2024-06-14 |