| NPI | 1306118542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN DALE MARKS President/Lmhc 850-819-1068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL mh8305) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL mh8305) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL mh8305) | |
| 101YM0800X Counselor, Mental Health (Licence: FL mh8305) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |