| NPI | 1962872176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY ELAINE MAY Owner 813-506-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH3258) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |