| NPI | 1366259616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARIE STEEN Partner 321-262-9041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2025-02-25 |