| NPI | 1770891715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA GEDAJLOVIC CEO 727-743-3483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 3061) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL MH 3061) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2011-09-22 |