| NPI | 1568762409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON DWIGHT BAIN Founder 407-647-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH1568) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH3247) |
| 101Y00000X Counselor (Licence: FL MT876) | |
| 101Y00000X Counselor (Licence: FL MH1568) | |
| 101Y00000X Counselor (Licence: FL MH7863) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH1568) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH7863) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH3247) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MT876) | |
| 101YP1600X Counselor, Pastoral (Licence: FL MH7863) | |
| 101YP2500X Counselor, Professional (Licence: FL MH3247) | |
| 106H00000X Marriage & Family Therapist (Licence: FL MT876) | |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |