| NPI | 1982652798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D EVANS President 386-754-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8268) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |