| NPI | 1982069480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLYN C WHITE President 850-897-7810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2024-07-06 |