| NPI | 1689544900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLIE KIRVIN Licensed Mental Health Counselor 850-653-5542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-11-11 |
| Last Update Date | 2026-01-13 |