| NPI | 1639413784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA TOMEKA BOYD CEO 850-509-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH11334) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-02-14 |