| NPI | 1285027193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANICIA PATRICE MARSHALL Lmhc, Ed.S, Cap, R PT S 850-491-4437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10771) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |