NPI | 1023479771 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL L. WELLS Licensed Mental Health Counselor 321-432-8295 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: FL MH8409) |
Enumeration Date | 2016-03-09 |
Last Update Date | 2016-03-09 |