| NPI | 1003392531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON L MILLER Owner 850-201-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13813) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2024-08-27 |