| NPI | 1346075397 |
|---|---|
| Other Name | THERAPIST |
| Entity Type | Organization |
| Authorized Contact | NADIA C BAKER Therapist 863-458-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2025-04-26 |