| NPI | 1366116873 |
|---|---|
| Doing Business As | KIMBERLY HINES |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HINES Owner 863-420-5134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-08-07 |
| Last Update Date | 2023-04-25 |