NPI | 1255827838 |
---|---|
Entity Type | Organization |
Authorized Contact | TORREY DALGLEISH Owner/Operator 772-353-0660 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL MH15801) |
Enumeration Date | 2018-07-06 |
Last Update Date | 2018-07-06 |