| NPI | 1932403599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA HORTON Owner/President 772-426-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2182) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8749) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2013-01-18 |