| NPI | 1518394618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M. DEASE Licensed Mental Health Counselor 850-577-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH 11756) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |