| NPI | 1962697441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ALESIA WILLIS Senior Partner 850-626-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH8971) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT2297) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2022-08-12 |