| NPI | 1871077826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QETSIYAH S YISRAE Non License Counselor 813-693-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor Pastoral |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |