| NPI | 1831513803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON B HOWARD Owner/Therapist 386-451-6343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MT 2619) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |