| NPI | 1912107145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ANN DOUGLAS Managing Member 727-439-0462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7121) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |