| NPI | 1386034049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN COLLINS Qwner/Executive Director 772-320-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 1943AD531301) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-09-25 |