| NPI | 1417925793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER MAE PHELPS Owner 850-689-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH7372) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-08-22 |