| NPI | 1821445792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BOTELHO Owner And Provider 727-365-9365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11858) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-11-28 |