| NPI | 1417262064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATSY BERNICE EVANS President 813-375-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10403) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL Ap1453) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-11-23 |