| NPI | 1235887621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY BARCLAY Clinical Director 772-773-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2024-03-27 |