| NPI | 1801381330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LEE ABBOTT CEO/Owner 727-798-7873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C010933) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2022-08-24 |