| NPI | 1871246751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERLEEN V CLAXTON CEO 321-588-9364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-02-03 |