| NPI | 1851807150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANETTE A SHERLOCK Owner 727-807-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: FL JB265723) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |