| NPI | 1740309939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY BAILEY HARDWICK Manager 813-964-5792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |