| NPI | 1619433083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA BIVINS Owner 850-396-2938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |