| NPI | 1568712495 |
|---|---|
| Doing Business As | FLORIDA COMMUNITY PREVENTION CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | LATRECE M ROWELL CEO/Executive Director 904-321-4097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL N01000001168) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |