| NPI | 1417007881 |
|---|---|
| Other Name | COUNSELING AND PSYCHOTHERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | VALERIE G WATT Vice President Administrative Dir 386-677-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW0003142) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |