| NPI | 1891030862 |
|---|---|
| Doing Business As | JEREMIAH SIMMONS |
| Entity Type | Organization |
| Authorized Contact | DAVID JEREMIAH SIMMONS Owner 321-332-8540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 10958) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2021-10-04 |