| NPI | 1508351263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JOHNSON Owner/Director 239-360-8986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH14585) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |