| NPI | 1770910226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA EUTENEUER Therapist 813-406-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 10669) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2016-09-21 |