| NPI | 1174976435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENE JOY GLANCE Owner/Therapist 561-420-4031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH11538) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |