NPI | 1346011657 |
---|---|
Entity Type | Organization |
Authorized Contact | DOROTHY LORI PERVER Owner/President, Lmhc 321-504-8766 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2024-01-15 |
Last Update Date | 2024-01-15 |