| NPI | 1013499441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA D GARNER Owner 850-449-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11872) |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2018-09-01 |