| NPI | 1982050506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE C BOLAND President 321-268-8745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH2130) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |