| NPI | 1972134401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE D MOORE Clinical Director 813-956-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 374J00000X Doula |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2025-10-30 |