| NPI | 1598282436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA PEACE Co Owner 386-479-9062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2019-05-01 |