| NPI | 1598068033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS G STEPHENS Pres. 321-225-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |