| NPI | 1932656329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL M LAATSCH Owner 813-734-5672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 13522) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: FL 768543) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |