| NPI | 1851806111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HART ALETKIN Lcsw, CEO, Qualified Supervisor 727-491-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL SW11016) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2023-03-22 |