| NPI | 1598059859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELISABETH BEIKIRCH-GODWIN Owner 863-640-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8009) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH8009) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH8009) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL CAP4269) | |
| 101YP2500X Counselor, Professional (Licence: FL MH8009) | |
| 101YS0200X Counselor, School (Licence: FL 651278) | |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2011-06-04 |