| NPI | 1740524990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE R HEPPE Licensed Mental Health Counselor 850-624-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10915) |
| Enumeration Date | 2012-11-11 |
| Last Update Date | 2012-11-11 |