| NPI | 1609130699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ELIZABETH MULLINS WASHBURN Owner 850-385-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH1593) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |