NPI | 1972914505 |
---|---|
Other Name | (TALKIFUWANT.COM) |
Entity Type | Organization |
Authorized Contact | KURT DOMINICK LAROSE Sole Proprietor 850-545-2886 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9297) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: DC LC50081569) |
Enumeration Date | 2014-05-16 |
Last Update Date | 2022-02-24 |