| NPI | 1215754056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MARIE ROBERTSON Counselor 863-370-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |