| NPI | 1245766807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS MCCOLISTER-CUNNINGHAM CEO & Owner 772-448-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH14456) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2023-12-05 |