| NPI | 1134984198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA GREENLAW Licensed Mental Health Counselor 850-616-7131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2025-07-15 |