NPI | 1265737076 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA BROOK WATTS Counselor 772-595-3773 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL 101YM0800X) |
Enumeration Date | 2011-01-26 |
Last Update Date | 2011-01-26 |