| NPI | 1881087724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET BOGGS KUYKENDALL Owner, Lic. Mental Health Counselor 386-365-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 11653) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |