| NPI | 1174939821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE M DIXON Sole Member 727-565-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11493) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |