NPI | 1497259949 |
---|---|
Entity Type | Organization |
Authorized Contact | MELANIE CRAWFORD Owner 850-339-1422 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8121) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD LC8121) |
101YM0800X Counselor, Mental Health (Licence: MD LC8121) | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2018-03-20 |