| NPI | 1821495862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J SCHOTTENFELD Sole Member 813-644-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2015-10-20 |