| NPI | 1114318573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON BOYCE Executive Director 850-872-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10807) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |