| NPI | 1841785482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAWANZA SPENCER Owner, Counselor 850-972-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-04-05 |