NPI | 1063713782 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISON PALOMBI President 772-267-8009 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL SW9624) |
Enumeration Date | 2010-11-11 |
Last Update Date | 2016-06-29 |