| NPI | 1851638951 |
|---|---|
| Other Name | KERRY CORVEN SHELL |
| Entity Type | Organization |
| Authorized Contact | KERRY CORVEN SHELL Owner 850-509-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 11571) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |