| NPI | 1194235069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA VERMILLERA Owner 321-446-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9873) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9893) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2023-10-31 |