| NPI | 1447074349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE BAIRD Chief Executive Officer 386-295-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2024-11-08 |
| Last Update Date | 2024-11-08 |