| NPI | 1932529393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGAN ELIZABETH HAGER Owner 850-462-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH12078) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |