| NPI | 1891243440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA H TAYLOR CEO 850-619-5631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH1271) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: FL SS185) |
| 225700000X Massage Therapist (Licence: FL MA79472) | |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |