| NPI | 1205543741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NATASHA WILLIAMS-KELLY Owner 321-271-8213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-03 |