| NPI | 1255888293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH GISONDI President/Manager 772-215-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL MH13767) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2023-11-24 |