| NPI | 1831641216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN P FOSTER Owner 813-504-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14180) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |