NPI | 1982958633 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES JOHN MESSINA Clinical Director, Be Cos Counselin 813-631-5176 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY2445) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL PY2445) |
103TF0000X Psychologist, Family (Licence: FL PY2445) | |
Enumeration Date | 2012-11-02 |
Last Update Date | 2012-11-05 |