| NPI | 1548840887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HUGHES Owner 850-797-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |