| NPI | 1770967853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE S MARSHALL Owner 850-624-5903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10148) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |