| NPI | 1508100819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRIAN SMIALEK Managing Member 813-838-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL mh9288) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |