| NPI | 1871095513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN FITZGERALD HELLMANN Owner 772-486-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW11131) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2021-08-19 |