NPI | 1295150993 |
---|---|
Entity Type | Organization |
Authorized Contact | SHETRESS WOODS Owner 321-282-1991 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11291) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YP1600X Counselor, Pastoral | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2014-03-04 |
Last Update Date | 2014-06-27 |