| NPI | 1295706877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE PORTER-RICHARD Owner/President 321-631-5538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH3802) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2014-03-19 |