| NPI | 1407220494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGAN HAGER Owner/President 850-462-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL mh12078) |
| Enumeration Date | 2015-11-14 |
| Last Update Date | 2015-11-14 |