| NPI | 1366796062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWILA ALISA ROULHAC Masters Level Counselor 850-628-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 101ym0800x0) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |