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 |