| NPI | 1962700559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKITRA DENETRICE POPE-FORD Master Level Counselor Therapist 850-391-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2011-03-05 |
| Last Update Date | 2011-03-05 |