| NPI | 1780259895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA CARMEL MCKENNA Clinical Mental Health Counselor 813-297-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |