| NPI | 1841648128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEIDA REYES-PEREZ Clinician 813-712-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12740) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |