| NPI | 1336758374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE Y ALLGOOD Licensed Mental Health Counselor 321-591-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |