| NPI | 1750880811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL J HOLTE Licensed Mental Health Counselor 727-773-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MH14145) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |