| NPI | 1053619791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A DAVIDSON Owner/President 813-679-1091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH2038) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |