| NPI | 1164958229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY MARIE BROWN Director /Provider 850-429-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14926) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-11-09 |