| NPI | 1053704452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W ANNEAR CEO 561-502-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10291) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW7624) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |