NPI | 1366142895 |
---|---|
Entity Type | Organization |
Authorized Contact | JASMINE CURTIS Credentialing Director 239-236-8784 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101Y00000X Counselor |
103K00000X Behavior Analyst | |
103TC0700X Psychologist, Clinical | |
104100000X Social Worker | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2023-03-03 |
Last Update Date | 2024-10-24 |