| NPI | 1154891422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELO BAEZ CEO/Ncmdr 321-332-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2022-04-07 |