| NPI | 1700291556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA IDO Owner/Provider 727-204-1573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7345) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |