| 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 |