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 |