NPI | 1942558150 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE DENISE ROBINETTE Counselor 386-451-1025 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 36 - 4354882) |
Enumeration Date | 2012-08-17 |
Last Update Date | 2012-08-17 |