| NPI | 1053203554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE CRAWFORD Owner 850-339-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-09-27 |