| NPI | 1063066512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA CASHMAN Therapist 321-208-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |