| NPI | 1063922540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAI ESCARMENT Executive Director 321-426-0359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2018-03-17 |