| NPI | 1730760455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ROBERT KLOSS Owner / Sole Member 727-308-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-04-15 |