| NPI | 1750766176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN ELIZABETH-MARIE STOREY CEO 850-219-0973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH11779) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL MH11779) |
| 101YP2500X Counselor Professional (Licence: FL MH11779) | |
| 1041C0700X Social Worker Clinical (Licence: FL MH11779) | |
| 251S00000X Community/Behavioral Health (Licence: FL MH11779) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2016-09-14 |