| NPI | 1750817722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE M LIMA Director Of Operations 727-314-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-03-20 |