| NPI | 1295374114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE PENDER Licensed Mental Health Counselor 850-792-5489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |