| NPI | 1689168304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN RAE ROCKWOOD Owner 888-793-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11413) |
| Enumeration Date | 2018-06-16 |
| Last Update Date | 2022-04-01 |