| NPI | 1639708183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARNITA WHITE CEO 813-557-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2022-07-14 |