| NPI | 1376819599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON GERALD GREENHALGH President 386-427-2241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT0951) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |