| NPI | 1316569494 |
|---|---|
| Other Name | NOT APPLICABLE |
| Entity Type | Organization |
| Authorized Contact | JOSEF KEVIN HARDWICK President/CEO 321-465-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |