| NPI | 1669831723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA JOHNSON-GILCHRIST Owner 813-609-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 12868) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |