| 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 |