| NPI | 1205319175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETITIA BROWNE Owner 321-209-8219 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 10763) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2022-10-24 |