| NPI | 1861148710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WESTERN President 850-293-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-04-18 |