| NPI | 1669847901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA MANTILLA Lmhc/Owner 727-505-6379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10384) |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2015-12-12 |