| NPI | 1437684438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE M AUSTIN Owner 850-619-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12979) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |