NPI | 1700983426 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN MARIE JENNINGS President CEO 321-779-0213 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7350) |
Enumeration Date | 2006-09-17 |
Last Update Date | 2020-08-22 |