NPI | 1144730003 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRLENE V BERKEL Clinical Counselor 863-500-2480 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL ISW12071) |
Enumeration Date | 2017-10-05 |
Last Update Date | 2017-10-05 |