| 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 |