| NPI | 1477729895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL G PRATHER President 850-249-9736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9104) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2024-12-16 |