| NPI | 1184052839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHENA PENELOPE SCOTES Assistant Director Of Operations 772-223-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5560) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |