| NPI | 1447695788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN LILJESTRAND Lmhc 850-661-5466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7203) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |