| NPI | 1215110820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA FETTROW President/Therapist 772-812-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MT 2260) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2008-11-03 |