| NPI | 1477952364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELMA ZAKOMAC BACEVAC Owner/Clinical Director 800-896-6105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12197) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2016-08-29 |