| NPI | 1689749160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT MARC SHAMIS President 386-668-6989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH2546) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |