| NPI | 1265845127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA ANN BATES Licensed Mental Health Counselor 561-722-7084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9355) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |