| NPI | 1174906309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M STEVENSON Managing Member 727-741-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7098) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |