| NPI | 1790259646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA VITALI Mgr 813-770-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2023-10-11 |