NPI | 1336687011 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH GOODWIN Mental Health Counselor/Owner 497-260-6181 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL mh9472) |
Enumeration Date | 2017-02-02 |
Last Update Date | 2017-02-02 |