| NPI | 1598005514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE A. DAVIS Licensed Psychotherapist 407-416-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6605) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |