| NPI | 1215417480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY TURNER JAMES Owner 386-986-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15910) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |