| NPI | 1699066688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY J. ADAMSON Owner/President 321-632-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5898) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |