| NPI | 1477341964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI NICOLE DAVIS Owner/Clinical Director/Provider 386-287-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |