| NPI | 1639576572 |
|---|---|
| Doing Business As | J. PHYLLIS BRANNEN, LCSW, CAP |
| Entity Type | Organization |
| Authorized Contact | J. PHYLLIS BRANNEN Owner/Operator 813-482-2507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL 1805AD627401) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |