| NPI | 1659781615 |
|---|---|
| Other Name | TBCFORCBT |
| Entity Type | Organization |
| Authorized Contact | NANCY S GORDON President 813-480-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |