| NPI | 1871924746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH BECKER Owner 727-218-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9824) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH9824) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |