| NPI | 1992977839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY E DURAN Ma, Lmhc 727-849-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 000490) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |