| NPI | 1962942920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA PASSARETTI Co Owner/Lmhc 754-800-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14552) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |