| NPI | 1023358736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA CLAYTON Owner 321-872-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2564) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2018-03-16 |