| NPI | 1124388202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LERNARD WILSON President 321-438-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7412) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |