| NPI | 1346505112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY DAVIS Owner/Manager 954-731-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10792) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |