| NPI | 1164748208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA G HATTEN Director/Owner 800-824-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH0004793) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |