| NPI | 1053278960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA JEAN STOVALL Licensed Prof Clinical Counselor 850-628-6321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-01-05 |