| NPI | 1003876400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI L PARSONS President/CEO 321-632-5972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2016-04-25 |