| NPI | 1306365341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA WARREN Owner/Practiciing Clinician 850-583-1342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH14671) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2017-09-11 |