| NPI | 1982156253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL F SUNICH Owner 813-505-1982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO PSY 3881) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |