| NPI | 1023657665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDI ESPIQUE Lead Therapist 321-586-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2021-04-21 |