| NPI | 1699040139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA FAYE KNIGHT-MILLER Licensed Mental Health Counselor 863-206-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7238) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |