| NPI | 1356926695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY CROMARTIE Director Of Operations 321-446-7150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |