| NPI | 1306363783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCILLE THOMAS CEO 321-333-9197 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2022-07-21 |