| NPI | 1225415953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA TROTMAN Authorized Member 321-289-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11261) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |