| NPI | 1134525207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALAN GRIER Sole Member 386-530-0126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2016-01-18 |