| NPI | 1073928792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE RUSHFORD Owner 850-420-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH10694) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |