| NPI | 1548626393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY A SUMMERFIELD Owner 321-328-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13868) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH13868) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH13868) | |
| 101YP2500X Counselor, Professional (Licence: FL MH13868) | |
| Enumeration Date | 2016-01-09 |
| Last Update Date | 2016-01-09 |