| NPI | 1699942458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHN SHAUGHNESSY CEO 727-817-1360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4602) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL SR51AD501701) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2016-02-04 |