NPI | 1083157663 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE J LEWIS Owner/Provider 321-746-3043 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11032) |
Enumeration Date | 2016-11-30 |
Last Update Date | 2016-11-30 |