| NPI | 1285421727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE Owner 321-966-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |