| NPI | 1487043410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LYNN WHARTON Executive Director 321-305-5946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: FL 204811419) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |