| NPI | 1760619514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM LADWIG President 386-506-9381 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH#00874) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2009-06-19 |